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Flexible Fiberoptic Bronchoscopy for Esophageal Foreign Body Removal in Children

Bijay K Meher1, Sarthak Naik1, Soumya R Mishra1

  • 1Department of Pediatrics, Sardar Vallabhbhai Patel Post Graduate Institute of Paediatrics (SVPPGIP), SCB Medical College, Cuttack, Odisha, India.

Indian Journal of Critical Care Medicine : Peer-Reviewed, Official Publication of Indian Society of Critical Care Medicine
|October 20, 2025
PubMed

Insights

Fiberoptic bronchoscopy effectively removes esophageal foreign bodies in children, even in resource-limited settings. This safe and viable alternative enhances patient outcomes when traditional endoscopy is unavailable.

Area of Science:

  • Pediatric Gastroenterology
  • Pediatric Pulmonology
  • Medical Devices

Background:

  • Esophageal foreign bodies are common in children.
  • Traditional removal often requires upper gastrointestinal (GI) endoscopy.
  • Resource limitations can hinder access to standard endoscopic procedures.

Purpose of the Study:

  • To evaluate the effectiveness of fiberoptic flexible bronchoscopy for esophageal foreign body retrieval in children.
  • To highlight its utility in resource-limited environments.

Main Methods:

  • A case series approach was used.
  • Two pediatric cases of esophageal foreign body ingestion are presented.
  • Fiberoptic bronchoscopy with specific instruments (rat tooth forceps, Dormia basket) was employed for extraction.

Main Results:

  • Successful retrieval of esophageal foreign bodies in both presented pediatric cases.
  • Demonstrated safety and efficacy of the fiberoptic bronchoscopy technique.
  • Successful extraction in a young infant and a child with special needs.

Conclusions:

  • Fiberoptic bronchoscopy is a safe and effective method for esophageal foreign body removal in children.
  • It serves as a valuable alternative to upper GI endoscopy, particularly in resource-limited settings.
  • This technique improves procedural safety and patient outcomes.
Abstract

Keywords:
BronchoscopyChildEsophageal foreign bodiesMinimally invasive surgical procedures

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